Discuss the factors affecting how
patients cope with cancer
Ans) Coping refers to the ability to adapt functionally to stressors. Coping is not a single act, but a process that changes over time.Coping styles, or efforts aimed at reducing or eliminating stressors, vary among individuals and situations.It is important to recognize that all patients will cope differently and that different coping strategies may be used at different points along the disease experience, however most people stay closely to a preferred style.
• Ability to cope depends on:
Past experiences
Culture
The context of the stress
The nature of the illness (stage, Tx. etc.)
Developmental stage
Social supports
Personality dimensions
Meaning of the illness to the person, tendency to be anxious,
optimism,
Locus of control
Enabling factors in coping with cancer:
Social support systems
Problem-solving ability
Religion
Perception of control
Self-esteem
Humor Positive appraisal
Hopefulness
Information-seeking
Positive comparisons
Social skills
Open communication
Hardiness
Generally, clients who are good problem-solvers or who cope well
tend to:
Confront reality, Avoid excessive denial, Remain flexible, Accept
support, Remain hopeful and optimistic
Factors that inhibit coping:
Denial
Wishful thinking
Erosion of autonomy
Anger
Blaming others
Noncompliance
Guilt
Avoidance
Helplessness
Powerlessness
Hopelessness
Depression
Isolation
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